Sidus Stem-Free Shoulder System for primary osteoarthritis: short-term results of a multicenter study

BACKGROUND: The aim of this prospective multicenter study was to evaluate clinical and radiologic results of a new metaphyseal anchored system. This system features a different anchor geometry that potentially leads to better bony integration and less loosening. METHODS: From November 2012 until December 2015, 148 patients (151 shoulders) were treated with the Sidus Stem-Free Shoulder System at 9 centers in Europe. The main indication was primary osteoarthritis (80.1%). This analysis only includes patients diagnosed with primary osteoarthritis (n = 121). A clinical evaluation was performed using the Constant-Murley score, Subjective Shoulder Value, American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form, and range of motion. Radiologic assessment was based on the occurrence of radiolucent lines and signs of implant migration, osteolysis, loosening, and heterotopic ossification. RESULTS: We evaluated 105 patients after a follow-up period of 2 years. There were 53 women and 52 men. The average age was 64 years. Total shoulder arthroplasty was performed in 73 cases and hemiarthroplasty in 32. The Constant-Murley score improved from 26 points preoperatively to 70 points at 2 years' follow-up (P < .001). The Subjective Shoulder Value increased from 34% to 84% (P < .001), and the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form increased from 34 points to 86 points (P < .001). Radiologically, neither migration nor loosening was found. However, radiolucent lines of 2 mm or greater could be detected around the glenoid in 2 cases, but none of them have had clinical relevance yet. The overall complication rate was 6.7%, and the revision rate was 0%. CONCLUSION: Patients with the Sidus Stem-Free Shoulder System achieve good clinical and radiologic short-term results that are comparable with the results of other stem-free shoulder implants

Organisation, data evaluation, interpretation and effect of arthroplasty register data on the outcome in terms of revision rate in total hip arthroplasty

Originally developed in Scandinavia, national arthroplasty registers have spread worldwide during the last decade. The value of registers for quality improvement in arthroplasty has frequently been documented. However, for the development of a successful register a few key points should be taken into account. Uncontrolled loss of patients from the registry area should be avoided. Registers should form an integral part of a country’s medical system. To realise the potential for improvement, it is crucial that physicians deal with the results in detail. Thus it is absolutely essential to involve the specialty societies in the interpretation and dissemination of results. With respect to revision rates, register data are usually more valid than meta-analyses of clinical studies. For every physician the most valuable data are those coming from a register in his own country; the development of national arthroplasty registers should therefore be continued

Zukunftsfähiges Deutschland in einer globalisierten Welt : ein Anstoß zur gesellschaftlichen Debatte; eine Studie des Wuppertal Instituts für Klima, Umwelt, Energie

Klimawandel, Hungerkrise, Rohstoffknappheit und Naturzerstörung stehen auf der internationalen Tagesordnung. Dennoch geht in der Politik, in der Wirtschaft und im Alltag Vieles weiter wie bisher: Für Flughäfen werden neue Start- und Landebahnen geplant, neue Kohlekraftwerke sollen gebaut werden und Heizpilze sprießen aus dem Boden. Im Zweifelsfalle sind der Politik die Ankurbelung der Nachfrage und die Interessen der Autoindustrie wichtiger als der Klimaschutz. Und selbstverständlich sollen Lebensmittel, T-Shirt und Turnschuhe wenig kosten. Armut in Entwicklungsländern hin, Umweltverschmutzung in Schwellenländern her. Die Notwendigkeit einer nachhaltigen Politik wird vielfach beschworen - und ungebrochen dem Wirtschaftswachstum Vorrang eingeräumt. Der Klimawandel ruft nach nichts weniger als einem Zivilisationswandel. Das war die Ausgangslage für ein interdisziplinär angelegtes Forschungsprojekt des Wuppertal Instituts unter der Leitung von Prof. Dr. Wolfgang Sachs. Es wurde im Sinne einer Zwischenbilanz gefragt, "ist Deutschland zukunftsfähiger geworden und wie haben sich die Bedingungen mit der Globalisierung verändert?"